| Crystal Coast Therapy Svcs | |
|
1405a S Glenburnie Rd New Bern NC 28562-2603 | |
| (252) 638-9091 | |
| (252) 638-7586 |
| Full Name | Crystal Coast Therapy Svcs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1405a S Glenburnie Rd, New Bern, North Carolina |
| Authorized Official Name and Position | Jennifer D Lozano (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 4049682663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Coast Therapy Svcs 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1853 Ph: (404) 364-2900 | Crystal Coast Therapy Svcs 1405a S Glenburnie Rd New Bern NC 28562-2603 Ph: (252) 638-9091 |
| NPI Number | 1679608913 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 07/24/2021 |
| Certification Date | 07/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679608913 | NPI | - | NPPES |
| 8300328 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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